Individual
ISAIAS MANUEL PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
380 E MAIN ST, EAST ISLIP, NY 11730-2821
(631) 954-8008
Mailing address
380 E MAIN ST, EAST ISLIP, NY 11730-2821
(631) 954-8008
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
019134
NY
Other
Enumeration date
08/09/2025
Last updated
08/09/2025
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